Fitz Flashcards
Eyelid movements are mediated by what three muscles?
How are they innervated?
Three muscles
orbicularis oculi and levator palpebrae superioris (ACh acts on nicotinic receptros to cause contraction)
superior tarsal muscle (sympathetic innervation via a1 receptors)
dopaminergic
emmetropic
focusing power =
1/focal length
accomodation
focusing power
fatter lens = more accomodation
Distance vision
sympathetic activation!
relaxation of ciliary muscle
via activation of ß2 receptors
Near vision
parasympathetic activation
contraction of ciliary muslces
muscarinic receptors
hyperopia
farsightedness
Axial length < focal length
caused by lens that is too short or lens that is too weak
correct with convex lens to increase refractive power
Myopia
nearsightedness
correct with concave lens
axial length > focal length
presbyopia
less flexible lens
decrease in accomodation
middle age…
astigmatism
uneveness in lens
part of visual field will be out of focus
cataracts
opaquness in lens
physical damage, radiation, high [glucose]
remove lens, replace
pupillary light reflex
causes miosis (parasympathetic stimulation of sphincter pupillae via muscarinic receptors)
and
mydriasis (sympathetic stimulation (a1 receptors) that activates the dilator pupillae muscles)
light in one eye –> constriction in another… used to test brain injury.
increased intraocular pressure can cause permanent vision loss
closed angle glaucoma (medical emergency) – caused by blockage of fluid outflow
open angle glaucoma (slowly developes) – caused by increase in aqueous humour production or a blockage of outflow
increased interocular pressure!!
- cornea – halos, blurring; 2. photoreceptor pressure; 3. optic nerve pressure; 4. arterial supply
aqueous humor volumn and intraocular pressure
inflow – sympathetics –> ß2 (increases flow) and alpha1 (decreases flow) of H2O via carbonic anhydrase
outflow – parasympathetics –> canal of Schlemm contract sphincter pupillae
intraocular pressure = 20 mmHg (>30 glaucoma)
(Pressure = flow x resistance (V = IR))